Electronic Medical Record Distribution, Systems and Methods

• US 20110282688A1
• Filed: 04/12/2011
• Published: 11/17/2011
• Est. Priority Date: 05/13/2010
• Status: Active Grant

• Current Assignee: NXGN Management, LLC. (NextGen Healthcare, Inc.)
• Original Assignee: NextGen Healthcare Information Systems Incorporated (Quality Systems Incorporated)
• Inventors: Raggousis, Konstantinos
• Granted Patent: US 9,280,636 B2
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 50/70 for mining of medical data, e.g. analysing previous cases of other patients
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass
• CPC Class Codes: H04B 7/15 Active relay systems
• CPC Class Codes: H04W 76/12 Setup of transport tunnels

Abstract

Systems and methods for distributing Electronic Medical Records (EMR) from a private practice to authorized mobile devices are presented. EMR data can be exchanged from a private practice with a remote mobile device via an intermediary mobile access service. The service can include one or more servers that tunnel EMR data between the mobile devices and the practice, where a relay server located at the service communicates via an a priori instantiated persistent session with a relay client installed at the practice. The persistent session can be maintained by the relay client thus reducing the burden on the practice to configure or change local network infrastructure.

Claims

15. A method of providing access to an Electronic Media Record (EMR) database, the method comprising:

enabling a mobile request device to generate an EMR request;

providing an EMR relay server capable of directing the EMR request to an EMR client over a network;

configuring the EMR client to query a local EMR database in response to receiving the EMR request, and to obtain an EMR results set in response to the query;

using the EMR client to establish and maintain a persistent session between the EMR client and the EMR relay server; and

receiving the EMR request at the EMR client over the persistent session;

sending the EMR result set responsive to the EMR request from the EMR client over the persistent session to the mobile request device via the EMR relay server.

16. A method of providing access to an Electronic Media Record (EMR) database, the method comprising:

enabling a mobile request device to generate an EMR request;

providing an EMR relay server capable of directing the EMR request to an EMR client over a network;

configuring the EMR client to query a local EMR database in response to receiving the EMR request, and to obtain an EMR results set in response to the query;

using the EMR client to establish a pending request for EMR access command from the EMR relay server; and

receiving the EMR request at the EMR client in response to the pending request;

sending the EMR result set responsive to the EMR request from the EMR client to the mobile request device via the EMR relay server; and

reestablishing the pending request for EMR access commands between the EMR client and the EMR server.

17. An Electronic Record (ER) distribution system, the system comprising:

an ER relay server configured to accept ER requests and direct the ER requests to an ER database storing ER data records;

a remote request device enabled to exchange ER request information over a network with the ER relay server;

an ER client communicatively coupled to the ER relay server over the network and coupled to the ER database that is local to the ER client; and

wherein the ER client establishes and maintains a persistent session with the ER relay server, and where ER requests from the remote request device are sent via the ER relay server to the ER relay client over the persistent session.

1. An Electronic Medical Record (EMR) distribution system, the system comprising:

an EMR relay server configured to accept EMR requests and direct the EMR requests to an EMR database storing EMR data records;

a mobile request device enabled to exchange EMR request information over a wireless network with the EMR relay server;

an EMR client communicatively coupled to the EMR relay server over a network and coupled to the EMR database local to the EMR client; and

wherein the EMR client establishes and maintains a persistent session with the EMR relay server, and where EMR requests from the mobile request device are sent via the EMR server to the EMR client over the persistent session.

2. The system of claim 1, wherein the EMR client is configured to query the EMR database and to provide a result set satisfying the EMR request to the mobile device via the EMR relay server.

3. The system of claim 1, further comprising an EMR web interface configured to generate the EMR request in response to receiving the EMR request information from the mobile device and to provide the EMR request to the EMR relay server.

4. The system of claim 1, wherein the mobile request device directly generates the EMR request.

5. The system of claim 1, further comprising an EMR request router configured to route the EMR request to the EMR relay sever from among a plurality of EMR relay servers.

6. The system of claim 5, wherein each of the EMR relay servers is dedicated to an independent practice hosting an EMR site.

7. The system of claim 5, wherein the EMR request router routes the EMR request based on authenticating tokens provide the by mobile request device.

8. The system of claim 1, wherein the EMR relay server is configured to relay requests to multiple independent EMR practice sites based on request routing rules.

9. The system of claim 1, wherein the EMR client automatically attempts to reestablishes the persistent session with the EMR relay server upon loss of connectivity with the EMR relay server.

10. The system of claim 1, wherein the EMR client is configured to automatically establish the persistent session upon installation of the EMR client.

11. The system of claim 1, wherein the persistent session comprises a pending request for instructions from the EMR relay server.

12. The system of claim 1, wherein the persistent session comprises a plurality of channels.

13. The system of claim 1, wherein data exchanges over the persistent session are secured.

14. The system of claim 13, wherein data exchanges between the mobile request device and the relay client are secured.

18. The system of claim 17, further comprising a channel manager configure to manage the persistent session between the ER relay client and the ER relay server.

19. The system of claim 18, wherein the persistent session comprises a plurality of channels.

20. The system of claim 19, wherein each of the plurality of channels is configured for use according to at least one of the following:

record owner information, requester information, and license information.

21. The system of claim 20, wherein the record owner is a patient.

21-1. The system of claim 19, wherein the requester is a member of a heath care practice.